| NPI | 1063492817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36097109) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01047013A) |
| 208600000X Surgery (Licence: IL 36097109) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2021-04-22 |