| NPI | 1134380843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2012009157) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2019-05-10 |