| NPI | 1679730766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036119428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD070799L) |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2016-07-06 |