| NPI | 1396188025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160684) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101257159) |
| 208D00000X General Practice (Licence: VA 0101257159) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-12-18 |