| NPI | 1386675809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU M-2285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036130871) |
| 207P00000X Emergency Medicine (Licence: GU EMTL-2021-026) | |
| 207Q00000X Family Medicine (Licence: GU M-2285) | |
| 207Q00000X Family Medicine (Licence: IL 036130871) | |
| 207Q00000X Family Medicine (Licence: FL ME94395) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-07 |