| NPI | 1487232906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A198549) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036177725) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-01-14 |