NPI | 1295862811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036087048) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003910A) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2017-10-10 |