| NPI | 1316915218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.122109) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34004540) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-03-24 |