| NPI | 1407146657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-145547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101256607) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-01-08 |