| NPI | 1548557481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036137811) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125060588) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2025-11-25 |