| NPI | 1144242223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53394) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-108682) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-02-09 |