| NPI | 1659723385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01082620A) |
| 207P00000X Emergency Medicine (Licence: MO 2019034831) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-09-21 |