| NPI | 1891342291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036171865) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-53503) |
| 207P00000X Emergency Medicine (Licence: MO 2025037554) | |
| 207P00000X Emergency Medicine (Licence: IN 01094468A) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-10-22 |