| NPI | 1942200191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036096187) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083296A) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-05-27 |