| NPI | 1598721508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02001829A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-083141) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |