| NPI | 1881055762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A151956) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036153182) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-01-05 |