| NPI | 1013447440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.152549) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125070665) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-10-02 |