| NPI | 1295984078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C154957) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 289627) |
| 207P00000X Emergency Medicine (Licence: IL 036-121488) | |
| 207Q00000X Family Medicine (Licence: IL 036121488) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-11-14 |