| NPI | 1174271639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 1174271639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-179446) |
| 207P00000X Emergency Medicine (Licence: IN 01099906A) | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2026-08-04 |