| NPI | 1720432115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 102256) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-10-21 |