| NPI | 1629426259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-160122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 267352) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-05-10 |