| NPI | 1669887337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A155962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036169360) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2026-04-08 |