| NPI | 1114912326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01060344) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-110410) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-07-21 |