| NPI | 1902872104 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036081311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036081311) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-12-10 |