| NPI | 1194969642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160560) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.010002) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-08-19 |