| NPI | 1801091806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.163599) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q2248) |
| 207P00000X Emergency Medicine (Licence: SD 11969) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-02-07 |