| NPI | 1174504674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A80472) |
| 207P00000X Emergency Medicine (Licence: NE 28608) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-12-14 |