| NPI | 1184128753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036157331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072835) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-08-10 |