| NPI | 1790309847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036175827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-50281) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-07-24 |