| NPI | 1598835209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-061324) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 233233) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-04-22 |