| NPI | 1891883328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO06858) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-112797) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036112797) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-03-26 |