| NPI | 1992143788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 102244) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-062894) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2025-03-17 |