| NPI | 1871011809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A184729) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036172901) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-06-10 |