| NPI | 1467411009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036109502) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3665) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-10-20 |