| 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 |