| NPI | 1164468724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-093245) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 1030) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-10-05 |