| NPI | 1831767862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT021090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036169375) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-05-09 |