| NPI | 1568022507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036158993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019002) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-10-20 |