| NPI | 1972637973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD27501) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.117290) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-05-18 |