| NPI | 1477571479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-065552) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 036065552) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-04-28 |