| NPI | 1477575306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036114902) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066568A) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2019-05-10 |