| NPI | 1801013164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.136717) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD20036) |
| 207P00000X Emergency Medicine (Licence: IN 01069854A) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-04-27 |