| NPI | 1306189428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142221) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004926A) |
| 207P00000X Emergency Medicine (Licence: MI 5315058798) | |
| 207P00000X Emergency Medicine (Licence: MI 5101020216) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-12-31 |