| NPI | 1922081348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036102496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 112947) |
| 207P00000X Emergency Medicine (Licence: IL 036.102496) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-12-09 |