| NPI | 1427332253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.134596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013042448) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2023-08-10 |