| NPI | 1912296377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01081460A) |
| 207P00000X Emergency Medicine (Licence: MD D75964) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D75964) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2020-09-01 |