| NPI | 1326488065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-145879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT203989) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2018-06-13 |