| NPI | 1104243138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125065324) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018003021) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-11-22 |