| NPI | 1245891613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-161692) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01087554A) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-07-31 |