| NPI | 1821448663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149662) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110174) |
| 207P00000X Emergency Medicine (Licence: MI 4351035958) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-06-25 |