| NPI | 1669424164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 45229) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 45229) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-12-26 |