| NPI | 1518922962 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036105438) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02002258A) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-07-21 |