| NPI | 1467491795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2010-00350) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036086660) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-01-23 |