| NPI | 1689820409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.122218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL AN5240394-1815) |
| 207P00000X Emergency Medicine (Licence: IN 01087343A) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-04-12 |