| NPI | 1508810847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036112372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075754A) |
| 207P00000X Emergency Medicine (Licence: TX Q8069) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-05-14 |