| NPI | 1619959269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.091223) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 37815) |
| 207P00000X Emergency Medicine (Licence: IL 036091223) | |
| 207Q00000X Family Medicine (Licence: GA 37815) | |
| 207U00000X Nuclear Medicine (Licence: GA 37815) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2021-06-23 |