| NPI | 1528553963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A173917) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125072428) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A173917) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-09-02 |