| NPI | 1053653634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140068) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083143A) |
| 207P00000X Emergency Medicine (Licence: WI 3511-320) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-01-09 |