| NPI | 1427204023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A107736) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL AC3890313M001) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2010-02-02 |