| NPI | 1295706802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 62928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036146689) |
| 207P00000X Emergency Medicine (Licence: VA 0101840441) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2021-09-20 |