| NPI | 1013202274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A130299) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-059672) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-01-05 |