| NPI | 1205950508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36116869) |
| Additional Taxonomies | 207PS0010X Emergency Medicine Sports Medicine (Licence: IL 036116869) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-07-21 |