| NPI | 1588302681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.175707) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A207482) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2026-04-13 |