| NPI | 1902814502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 360940030) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 2282-320) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 360940030) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-05-02 |