| NPI | 1073540431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-084924) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-084924) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-05-10 |