| NPI | 1184631954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A9993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036115367) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2021-08-19 |