| NPI | 1104939362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS-1632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036083290) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-01-22 |