| NPI | 1265529630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-115808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2008026704) |
| 207P00000X Emergency Medicine (Licence: IL 036-115808) | |
| 207P00000X Emergency Medicine (Licence: MO 2008026704) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-01-28 |