| NPI | 1770711434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.129073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072860A) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-10-21 |