| NPI | 1609843325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01032734A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-065382) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-02-25 |