| NPI | 1699819045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA 138153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036131985) |
| 207P00000X Emergency Medicine (Licence: CA 138153) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-09-09 |