| NPI | 1831683960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.164496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.072128) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-10-12 |