| NPI | 1578981049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD186710) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036142950) |
| 207P00000X Emergency Medicine (Licence: IL 125064548) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-06-13 |