| NPI | 1134196470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 54269-021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-112399) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-04-10 |