| NPI | 1336526524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036146793) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX W3644) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2026-04-17 |