NPI | 1063809739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 58973) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125067783) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2022-03-23 |