| NPI | 1902025653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 76417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036117169) |
| 207P00000X Emergency Medicine (Licence: IN 01063115A) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2017-01-08 |