| NPI | 1255712824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-145967) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 125-066972) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-145967) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-04-27 |