| NPI | 1982840211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036121543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 51566-20) |
| 207P00000X Emergency Medicine (Licence: IN 01065185A) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2015-03-22 |