| NPI | 1871603068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 38940) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-100689) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-11-13 |