| NPI | 1396034161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036157415) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2016-01331) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-09-27 |