NPI | 1821522301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 68448) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 00000000000000000000) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2023-03-14 |