| NPI | 1154453454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-107679) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036107679) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-12-12 |