| NPI | 1508396490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036157869) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301113038) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-09-12 |