| NPI | 1861419327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-096060) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01054597A) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-01-13 |