| NPI | 1538308564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.127720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02003664A) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2011-06-06 |