| NPI | 1629057872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36110508) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01069428A) |
| 207P00000X Emergency Medicine (Licence: WI 45871) | |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2025-10-29 |