| NPI | 1730460965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.141357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A118191) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2020-04-20 |