| NPI | 1821050832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2017-02455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036109439) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-01-14 |