| NPI | 1811550981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.164300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151013942) |
| 207P00000X Emergency Medicine (Licence: MI 5101025918) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.164300) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-12-05 |