| NPI | 1659876191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125073270) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-06-15 |