| NPI | 1750874749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036156642) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018020016) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2026-05-22 |