| NPI | 1225095615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-109747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD25257) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-07-06 |