| NPI | 1639138381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 20120) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036049989) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-07-30 |