NPI | 1215292669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A-2047-17) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125065738) |
207P00000X Emergency Medicine (Licence: ID O-1304) | |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-11-18 |