| NPI | 1306001227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036137768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 66225) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-07-30 |