| NPI | 1174158216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.168410) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093440A) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2026-06-30 |