| NPI | 1720300411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036125035) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60636) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2024-09-19 |