| NPI | 1730503665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005326A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020907) |
| 207P00000X Emergency Medicine (Licence: IL 036145798) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2021-03-19 |