| NPI | 1821728106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A23814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036171590) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-07-01 |