NPI | 1578513602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036070594) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036070594) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-03-18 |