| NPI | 1811912231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-053995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H5906) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-08 |