| NPI | 1093920118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036122794) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301087746) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-09-18 |