| NPI | 1659678621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036159044) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004328A) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2023-03-22 |