| NPI | 1104844935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G88465) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-115277) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-27 |