| NPI | 1275731564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036128121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036128121) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2021-12-20 |