| NPI | 1972762698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036151975) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01065379A) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-11-15 |