NPI | 1740478163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036118890) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02003702A) |
207Q00000X Family Medicine (Licence: IL 036118890) | |
Enumeration Date | 2007-10-10 |
Last Update Date | 2025-01-07 |