| NPI | 1093165953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036158817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A15886) |
| 207P00000X Emergency Medicine (Licence: MO 2019045209) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-08-10 |