| NPI | 1912389297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 82204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036145777) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-07-11 |