| NPI | 1811966781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-11786) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01059413A) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-05-16 |