| NPI | 1730131889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01082816A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036100303) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-09-03 |