| NPI | 1811494966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 75660) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 390200000x) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-06-26 |