| NPI | 1720244916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036122368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-051942) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2009-07-20 |