| NPI | 1871014654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.159538) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75560) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-12-14 |