| NPI | 1871528059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036091887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01067880A) |
| 207P00000X Emergency Medicine (Licence: IA MD-45576) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-12-29 |