| NPI | 1629254750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.136153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090823) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2014-11-05 |