| NPI | 1659482677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101252911) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-115690) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-06-21 |