| NPI | 1700992179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-103058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-103058) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-11-14 |