| NPI | 1346353505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036084476) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 47498-20) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-05-03 |