| NPI | 1811524259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.164806) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.075846) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-07-14 |