NPI | 1700869112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-101187) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036101187) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2019-08-27 |