| NPI | 1821401506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-44365) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.141456) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2018-07-20 |