| NPI | 1922737550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.174797) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2025008989) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2026-06-22 |