| NPI | 1720187453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-077643) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036-077643) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |