| NPI | 1720217979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036154487) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094889) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2025-02-11 |