| NPI | 1043280811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-126617) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 44558) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-02-10 |