| NPI | 1134581739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.068510) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-07-23 |