| NPI | 1730678665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036157306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-071881) |
| 207P00000X Emergency Medicine (Licence: IN 02006688A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-04-25 |