| NPI | 1912430307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301501989) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036172039) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-09-30 |