| NPI | 1013029511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.123753) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA H95343) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-20 |