| NPI | 1659412971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036108130) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 052729) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-10-16 |