| NPI | 1851371918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036112903) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M4024) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2013-05-29 |