| NPI | 1144423526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036122602) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C152817) |
| 207P00000X Emergency Medicine (Licence: IL 125-051300) | |
| 207P00000X Emergency Medicine (Licence: IN 01082233A) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-05-14 |