| NPI | 1851329494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036118204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-008467) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-08-17 |