| NPI | 1891087433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036171457) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D77776) |
| 207P00000X Emergency Medicine (Licence: NY 285582) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2024-09-10 |