| NPI | 1952863268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036159140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 4110-320) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-03-27 |