| NPI | 1114233558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD187547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125058667) |
| 207P00000X Emergency Medicine (Licence: CA A128931) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-06-13 |