| NPI | 1811337702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125063095) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01077036A) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-02-08 |