| NPI | 1396940821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036120189) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA L-222802) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-11-08 |