| NPI | 1750394169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-113564) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01058489A) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-02-25 |