| NPI | 1043507999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.059874) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.134069) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-06-26 |