| NPI | 1710347075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036163166) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 30412) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-10-17 |