| NPI | 1932591476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A157932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036173216) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2025-06-10 |