| NPI | 1376743914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036081745) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76923) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2025-11-24 |