| NPI | 1821296237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 688-L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-124819) |
| 207P00000X Emergency Medicine (Licence: MS 21214) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-11-23 |