| NPI | 1376084715 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 67392) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 1376084715) | 
| 207P00000X Emergency Medicine (Licence: CA A171654) | |
| Enumeration Date | 2017-03-18 | 
| Last Update Date | 2023-09-17 |