| NPI | 1811925001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 52241) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IL 036077518) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-02-11 |