| NPI | 1356799787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.151683) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03704) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-01-12 |