| NPI | 1134454630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036130791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ r71461) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2016-09-01 |