| NPI | 1134475270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q6885) |
| 281P00000X Chronic Disease Hospital | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2021-09-23 |