| NPI | 1265644371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036119230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 37842) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-05-08 |