| NPI | 1740454552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036126442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01068984A) |
| 207P00000X Emergency Medicine (Licence: WI 55542-20) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-03-25 |