| NPI | 1922394121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036133899) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.060440) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2026-03-02 |