| NPI | 1437328630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036124553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 20439) |
| 207P00000X Emergency Medicine (Licence: IA 38741) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-11-17 |