| NPI | 1801058979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.129599) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015272) |
| 207P00000X Emergency Medicine (Licence: IN 02005607A) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-02-19 |