| NPI | 1649512195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036170215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 270150) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-12-06 |