| NPI | 1588019293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036152143)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A14956)  | 
| Enumeration Date | 2016-05-01 | 
| Last Update Date | 2021-03-31 |