| NPI | 1083143820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125070626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A169424) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-04-19 |