| 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 |