| NPI | 1952536104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.129614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60561) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2023-04-24 |