| NPI | 1710252929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140868) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005372A) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2023-06-21 |