| NPI | 1811960933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IL 036.069017) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 336.033013) |
| 207P00000X Emergency Medicine (Licence: IL 036069017) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-02-12 |