| NPI | 1730162207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-64982) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036064982) |
| 207R00000X Internal Medicine (Licence: IN 020-01236) | |
| 207P00000X Emergency Medicine (Licence: IL 036-84982) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2017-10-06 |