| NPI | 1467727297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14423) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.138890) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2016-06-23 |