| NPI | 1669888327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-142683) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105787) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-04-28 |