| NPI | 1073504767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-107180) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A84896) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A84896) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-107180) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-09-19 |