| NPI | 1629284872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 44158) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036116691) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-07-22 |