| NPI | 1255449393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036074643) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036074643) |
| 207P00000X Emergency Medicine (Licence: IN 02002903A) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-10-26 |