NPI | 1134354830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036124578) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01067425A) |
207P00000X Emergency Medicine (Licence: IL 125.052404) | |
Enumeration Date | 2009-05-25 |
Last Update Date | 2023-01-17 |