| NPI | 1992834162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO28619) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36117312) |
| 207Q00000X Family Medicine (Licence: OR DO28619) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-11-09 |