| NPI | 1457323750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36104104) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36104104) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-04-19 |