| NPI | 1225471865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.140123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01078635A) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2019-08-30 |