| NPI | 1871723445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301094706) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036130213) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-11-14 |