| NPI | 1134668189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036156624) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS WILL APPLY) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-06-10 |