| NPI | 1972797991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243194) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125047413) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2021-05-27 |