| NPI | 1891729232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 157362) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036102179) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-102179) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-04-27 |