| NPI | 1275987737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005866A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036151238) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2026-05-14 |