| NPI | 1033218094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.204544) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036114536) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-02-01 |