| NPI | 1639465776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01075095A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036135364) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-05-04 |