| NPI | 1386800050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125054022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01070442A) |
| 207P00000X Emergency Medicine (Licence: WI 3710-320) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-11-16 |