| NPI | 1841589165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-138120) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A125841) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2019-01-04 |