| NPI | 1255907564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02007727A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125077944) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-09-03 |