| NPI | 1548228042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 224959) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036116421) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-10-17 |