NPI | 1124406392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A17115) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 1124406392) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-02-02 |