| NPI | 1821224320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125056564) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P5205) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-07-24 |