| NPI | 1649697541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.145456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125065187) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2018-04-27 |