| NPI | 1306339189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.155060) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.072370) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2021-07-02 |