| NPI | 1679598742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 336-027292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-062756) |
| 207R00000X Internal Medicine (Licence: IL 036-062756) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-04-26 |