| NPI | 1881694990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036157490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047772) |
| 207P00000X Emergency Medicine (Licence: IN 01047772A) | |
| 207Q00000X Family Medicine (Licence: IL 036157490) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2021-08-05 |