| NPI | 1235199738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-07-5044) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2017-12-29 |