| NPI | 1790896439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-116278) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.116278) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036116278) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-11-20 |