| NPI | 1871516781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.121922) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME48700) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-05-10 |