| NPI | 1154881910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.160589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125075085) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-12-30 |