| NPI | 1942200027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005208A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-107014) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-06-11 |