| NPI | 1619358785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A191686) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125066216) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-09-11 |