| NPI | 1649302217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-126575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9646) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-07-22 |