| NPI | 1407475726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036169908)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PTL1734)  | 
| Enumeration Date | 2020-04-16 | 
| Last Update Date | 2024-08-13 |