| NPI | 1043628589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036143374) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 74297) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2024-04-10 |