NPI | 1528143807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036064476) |
Additional Taxonomies | 208D00000X General Practice (Licence: NM MD2022-1413) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-02-22 |