| NPI | 1760779771 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036137664) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125059396) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-03-03 |