| NPI | 1831159490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36115499) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61113193) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2022-02-17 |