| NPI | 1427016062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085000496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085-000496) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-04-06 |