| NPI | 1316927155 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36093268)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36093268)  | 
| Enumeration Date | 2006-01-18 | 
| Last Update Date | 2009-11-09 |