| NPI | 1699786046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-17238) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036136573) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-05-25 |