| NPI | 1730199241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.142611) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A78600) |
| 207P00000X Emergency Medicine (Licence: MO 2019046573) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-12-17 |