| NPI | 1134658263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036153091) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023388) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-12-30 |