| NPI | 1609894526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53250-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036090958) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-11 |