| NPI | 1225179476 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-8137)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036114113)  | 
| 207R00000X Internal Medicine (Licence: AR E-8137)  | |
| Enumeration Date | 2007-02-09 | 
| Last Update Date | 2021-05-20 |