| NPI | 1003305368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036154763) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 101503) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-02-23 |