| NPI | 1164736294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-128972) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-054-852) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2023-04-21 |