| NPI | 1891952057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD198821) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-050631) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-08-28 |