| NPI | 1760800478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD463491) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125065285) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-05-02 |