| NPI | 1588639926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036108733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 36312) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-10-20 |