| NPI | 1295787083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS014123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036110927) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-03-19 |