| NPI | 1295152304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD465425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036143129) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-12-01 |