| NPI | 1043261555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036046999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036046999) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-12-29 |