| NPI | 1003971144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-047368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 39366) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |