| NPI | 1396231197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125073360) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101274338) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-06-21 |