| NPI | 1295791127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2001004853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036071063) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-04-09 |