| NPI | 1821029554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01073716A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036110937) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-03-15 |