| NPI | 1194833707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine Sports Medicine (Licence: IL 036111823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-111823) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-07-13 |