| NPI | 1790190221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036146263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01079910A) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-04-28 |