| NPI | 1376129247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02007579A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036166625) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-08-22 |