| NPI | 1306133640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.139117) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-059996) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2018-09-05 |