| NPI | 1861884520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036154193) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125070584) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2021-10-27 |