| NPI | 1053398552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01050450A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-091058) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-08-30 |