| NPI | 1295707081 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R8039) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036054272) | 
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO R8039) | |
| Enumeration Date | 2006-02-06 | 
| Last Update Date | 2017-11-06 |