| NPI | 1619471455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036153613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036153613) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-10-25 |