| NPI | 1710290002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036134549) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.058700) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-03-02 |