| NPI | 1467183236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125080757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125080757) |
| 208600000X Surgery (Licence: IL 125080757) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-08-01 |