| NPI | 1235122813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01032649A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036066289) |
| 207P00000X Emergency Medicine (Licence: IL 036-066289) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2017-02-03 |