| NPI | 1831719293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D97156) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.075625) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2023-08-06 |