| NPI | 1467784496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P2633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-056010) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2014-08-27 |