| NPI | 1639699127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A175091) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036151119) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-03-02 |