| NPI | 1598784167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5315008284) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 336-071206) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-11-29 |