| NPI | 1407483563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.076962) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-06-28 |