| NPI | 1790751691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036131401) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 222685) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-04-06 |