| NPI | 1992855175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036110346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110346) |
| 207R00000X Internal Medicine (Licence: NV 17161) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-01-09 |