| NPI | 1639465115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.143036) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A131236) |
| 207P00000X Emergency Medicine (Licence: ID M-13202) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-03-07 |