| NPI | 1306230370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145040) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125066918) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-04-05 |