| NPI | 1982878138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036125129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090681) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2021-04-16 |