| NPI | 1306891395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 061117) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-115155) |
| 207P00000X Emergency Medicine (Licence: SC 1186) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-01-07 |