| NPI | 1366630931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.200567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036119303) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-11-20 |