| NPI | 1518372390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036146311) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014018131) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-03-27 |