| NPI | 1649661943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036160265) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036160265) |
| 207P00000X Emergency Medicine (Licence: IL 125068291) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-07-08 |