NPI | 1841276847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036-093222) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 36093222) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036-093222) | |
207P00000X Emergency Medicine (Licence: IL 036-093222) | |
261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 036-093222) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2014-04-23 |