| 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 |