| NPI | 1134354830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036124578) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01067425A) |
| 207P00000X Emergency Medicine (Licence: IL 125.052404) | |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2023-01-17 |