| NPI | 1730704909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A20689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125076307) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-05-23 |