| NPI | 1144419896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101023053) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.119037) |
| 207P00000X Emergency Medicine (Licence: WI 54193-21) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2017-06-13 |