| NPI | 1972550895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 40452-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036098240) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-12-19 |