| NPI | 1043909203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125084928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 1043909203) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-07-29 |