| NPI | 1902950934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A9226) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036065498) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-01-04 |