| NPI | 1366671083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125051550) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2011-09-01 |