| NPI | 1265425748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 49325) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-109491) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2016-04-12 |