| NPI | 1083686158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 105823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36087806) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2014-02-14 |