| NPI | 1194847475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A100640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.117445) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-02-02 |