| NPI | 1285800391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036098607) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 103369) |
| 207P00000X Emergency Medicine (Licence: TN 47769) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2015-08-03 |