| NPI | 1992159206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.149495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 3821646) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-11-10 |