| NPI | 1871114272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036162242) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 85952) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2025-06-10 |