| NPI | 1639335078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-121536) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-051691) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-12-09 |