| NPI | 1194729517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036104243) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036104243) |
| 208D00000X General Practice (Licence: IL 036104243i) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036104243) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-02-17 |