| NPI | 1578191854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A195931) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.166221) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-08-30 |