| NPI | 1902337215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036156178) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-070455) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-07-12 |