| NPI | 1366733784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.133663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089489A) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-03-14 |