| NPI | 1891963641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090750) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-06-04 |