| NPI | 1366822348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A159865) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125067303) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-03-06 |