| NPI | 1396264339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085.006343) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-04-17 |