| NPI | 1386022432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.149515) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005328A) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2021-07-16 |