| NPI | 1205147360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036141978) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT196910) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2017-09-13 |