| NPI | 1962608026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036123083) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016324) |
| 207P00000X Emergency Medicine (Licence: TX P2195) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-03-07 |