| NPI | 1760793434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036144610) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005050A) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-04-10 |