| NPI | 1689621997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 39505-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036073524) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-01-29 |