NPI | 1255597779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036121944) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-121944) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2024-12-17 |