| NPI | 1801277363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 57210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125067541) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2020-04-06 |