| NPI | 1821527201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.152725) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125070487) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |