| NPI | 1679947535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036164519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.074610) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-10-20 |