| NPI | 1689668808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02002714A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036110102) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-04-01 |