| NPI | 1083144232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036152791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.071269) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-08-10 |