| NPI | 1841877222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.167218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.078109) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-06-24 |