| NPI | 1942466552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 0000060009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054355) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2022-03-30 |