| NPI | 1518357276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.068312) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-07-23 |