| NPI | 1386036085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021644) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2023-08-14 |