| NPI | 1982684445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-108187) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.108187) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-09-10 |