| NPI | 1538266317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2006020985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-114654) |
| 207P00000X Emergency Medicine (Licence: IL 125046185) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-26 |