| NPI | 1285922393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-137133) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125060678) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-04-22 |