| NPI | 1477997369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2017039564) |
| 208D00000X General Practice (Licence: IL 036145002) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2023-02-02 |