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 |