| NPI | 1548515570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147353) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014025271) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-08-31 |