| NPI | 1497799035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-061521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036061521) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-11-24 |