| NPI | 1306906151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2019042325) |
| 207P00000X Emergency Medicine (Licence: CA A82482) | |
| 207P00000X Emergency Medicine (Licence: IN 01056932A) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-10-14 |