| NPI | 1821065764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036112094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036112094) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-03-31 |