| NPI | 1083697122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036093369) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 108467) |
| 207R00000X Internal Medicine (Licence: MO 108467) | |
| 207R00000X Internal Medicine (Licence: IL 036093369) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-03-09 |