| NPI | 1053425207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036129466) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 056010) |
| 207P00000X Emergency Medicine (Licence: PA MD422482) | |
| 207P00000X Emergency Medicine (Licence: CA A108672) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-03-16 |