| NPI | 1437041480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036091750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036091750) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |