| NPI | 1528004777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-090592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-090592) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-03-10 |