| NPI | 1326276072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A119814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-139374) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2019-08-22 |