| NPI | 1508217605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125068215) |
| 207P00000X Emergency Medicine (Licence: MO 2019024481) | |
| 207P00000X Emergency Medicine (Licence: IN 01082371A) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-04-19 |