| NPI | 1063733053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 336.094032) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-058613) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2014-06-16 |