| NPI | 1932124997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036085914) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 1734) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-06-15 |