| NPI | 1891146403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-12002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.069432) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-03-22 |