| NPI | 1730561747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-146658) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.146658) |
| 207P00000X Emergency Medicine (Licence: IN 01081643A) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2026-03-18 |