| NPI | 1932691292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.155713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.072253) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2021-04-25 |