| NPI | 1801141924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35126753) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL AS3581875218) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2015-06-22 |