| NPI | 1710542139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.157551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.074212) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-06-07 |