NPI | 1659385185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036083792) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036083792) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2021-12-20 |