| NPI | 1710326038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036138855) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A141730) |
| 207P00000X Emergency Medicine (Licence: IN 01081935A) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-03-27 |