| NPI | 1891052239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IL FS6627698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD043310) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-01-19 |