| NPI | 1073889242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.140717) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004823A) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2023-12-21 |