| NPI | 1932553179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68373-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036173124) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-01-21 |