| NPI | 1598226433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160175) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.074575) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-11-22 |