| NPI | 1265059935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036169519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036169519) |
| 207P00000X Emergency Medicine (Licence: IN 01093102A) | |
| 207P00000X Emergency Medicine (Licence: MI 4351046314) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-08-28 |