| NPI | 1811084551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.116475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008005525) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-05-10 |