| NPI | 1821040841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036065944) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036065944) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-04-09 |