| NPI | 1609972066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A90173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-107618) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-10 |