| NPI | 1003297888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080512A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125067420) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-05-08 |