| NPI | 1073878609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO.1501) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.061728) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2015-07-06 |