| NPI | 1174759559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125-056353) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004022A) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2022-01-12 |