| NPI | 1881083640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.148475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083538A) |
| 207P00000X Emergency Medicine (Licence: WI 3924-320) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2024-02-12 |