| NPI | 1184156960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-165240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0089017) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-12-21 |