| NPI | 1043606841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036163227) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01082278A) |
| 207P00000X Emergency Medicine (Licence: WI 66439-20) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2025-11-25 |