| NPI | 1932729738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186544) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-076294) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-10-10 |