| NPI | 1912951567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2004031369) |
| 207P00000X Emergency Medicine (Licence: FL ME 96063) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-11-08 |