| NPI | 1003955741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD437534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036106855) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-12-26 |