| NPI | 1871976548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145850) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.066840) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-06-14 |