NPI | 1861475261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-092388) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036092388) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2009-04-23 |