| NPI | 1902067218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036120990) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 56422-20) |
| 207P00000X Emergency Medicine (Licence: IN 01076675A) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2025-07-10 |