| NPI | 1023469640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148580) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-50039) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2022-08-02 |