| NPI | 1881622454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 39994-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-093789) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-02-21 |