| NPI | 1699122986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147664) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-068662) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-06-25 |