| NPI | 1093150476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a148234) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125063227) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-04-02 |