| NPI | 1942469598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-152111) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036120135) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2025-04-15 |