| NPI | 1053514414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-121441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-051037) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-12-10 |