| NPI | 1144471640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 5231) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036117923) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2010-08-24 |