| NPI | 1659537520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.137340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125055000) |
| 207P00000X Emergency Medicine (Licence: IL 036129901) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-09-05 |