| NPI | 1013073253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 60901-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-109982) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2018-07-24 |