| NPI | 1356325328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.087673) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036087673) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-05-29 |