| NPI | 1578536603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036067965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 01541) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2008-04-11 |