| NPI | 1497998991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036130004) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 69982) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-12-01 |