NPI | 1902096142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-124131) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-124131) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2010-08-05 |