| NPI | 1790198976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036141939) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301508251) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-06-23 |