| NPI | 1720074701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036089885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01058413A) |
| 207P00000X Emergency Medicine (Licence: IN 01058413A) | |
| 207P00000X Emergency Medicine (Licence: IL 036089885) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-09-08 |