| NPI | 1649492463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016861) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-04-17 |