| NPI | 1992490924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP70086280) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036176337) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-05-26 |