| NPI | 1346301025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036121910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 1250520017) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-09-28 |