| NPI | 1861634594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 33383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125055206) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2011-07-01 |