| NPI | 1912987751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36105634) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36105634) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-09-08 |