| NPI | 1851882385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS20051) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036156895) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036156895) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2023-08-31 |