NPI | 1790717502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036061261) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01049211A) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036061261) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2022-08-02 |