| NPI | 1164513073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036076873) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 50389-020) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-04-29 |