| NPI | 1144293929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 036093943) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IL 036093943) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2019-04-04 |