| NPI | 1861429177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IL 036-083083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301514553) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2025-07-11 |