| NPI | 1720142128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036126294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047096A) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-10-13 |