| NPI | 1548260623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-111795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01088280A) |
| 207P00000X Emergency Medicine (Licence: WI 3961-320) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2024-02-29 |