| NPI | 1790765584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-088445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 82317) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-11-18 |