| NPI | 1861491599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036141508) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01063120) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-03-23 |