| NPI | 1164448387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.123119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.123119) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036.123119) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-03-26 |