| NPI | 1932305182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125-049400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01064696A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-02-17 |