| NPI | 1396788006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-081373) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 51463-20) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-01-26 |