| NPI | 1639527138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.149055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2023010335) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-04-13 |