| NPI | 1891779724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-089750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 47028020) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-04-26 |