| NPI | 1497701510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036098224) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036098224) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-03-25 |