| NPI | 1396305124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036161642) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 101560-875) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-05-20 |