| NPI | 1750382396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036106959) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-106959) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2013-01-23 |