| NPI | 1033476585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.136839) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075841A) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2025-11-25 |