| NPI | 1578587507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A98395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-114095) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA A98395) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-07-10 |