| NPI | 1467747543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 60 274838) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-059713) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2015-05-08 |