| NPI | 1366857906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125064923) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-01-03 |