| NPI | 1598705659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036109738) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 50862-20) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-12-21 |