| NPI | 1013198696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109481) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036119723) |
| 207R00000X Internal Medicine (Licence: IL 036119723) | |
| 207R00000X Internal Medicine (Licence: CA A109481) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2020-02-28 |