| NPI | 1972007847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A166512) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.160047) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-10-02 |