| NPI | 1104180173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125061421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036136480) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-05-23 |