| NPI | 1215960935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-116795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 17041) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-07 |