| NPI | 1639504640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036143408) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL up3470) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2023-01-10 |