| NPI | 1528415817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148736) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-068222) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-06-14 |