| NPI | 1174593487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036056821) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 39452) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-07-15 |