| NPI | 1316947468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036069160) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2026-01-05 |