| NPI | 1285843011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036118956) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-049796) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-08-17 |