| NPI | 1255826491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125073368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01086394A) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-10-13 |