| NPI | 1902224967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 65837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036154419) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2025-01-21 |