| NPI | 1205254828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147182) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 10406556-1205) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-07-01 |