| NPI | 1295099034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A139930) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036137069) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-02-22 |