| NPI | 1679557656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02002800A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 03611016) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-11 |