| NPI | 1942318548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-106463) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01068011A) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-09-22 |