| NPI | 1760060669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036169451) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.078713) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-05-16 |