NPI | 1750307005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036092325) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036092325) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2018-05-31 |