| NPI | 1346504339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A135544) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-061652) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2017-01-06 |