| NPI | 1801389853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018018672) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-01-12 |