| NPI | 1326072257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-087296) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-116102) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-06-10 |