| NPI | 1922475482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.153875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.072722) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-09-04 |