| NPI | 1801321229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A176129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-153227) |
| 207P00000X Emergency Medicine (Licence: IL 125070754) | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2023-02-10 |