| NPI | 1053303636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO R7913) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MO R7913) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MO R7913) | |
| 207P00000X Emergency Medicine (Licence: MO R7913) | |
| 207P00000X Emergency Medicine (Licence: IL 036117250) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-06-26 |