| NPI | 1124317847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.134200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073262A) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-01-27 |