| NPI | 1902891237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036096346) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006853A) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2022-07-15 |