| NPI | 1265623268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036120316) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2006033803) |
| 207Q00000X Family Medicine (Licence: IL 036120316) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-05-14 |