| NPI | 1750361325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36073801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036083261) |
| 208600000X Surgery (Licence: IL 36073801) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-12-01 |