| NPI | 1568091924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036164934) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01086990A) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036.164934) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-09-12 |