| NPI | 1902822836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01037772A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-069233) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-02-19 |