| NPI | 1902054216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036124285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036124285) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IL 036-124285) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2021-04-28 |