| NPI | 1760001564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036164314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351046083) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2023-06-06 |