| NPI | 1962995118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.073037) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01085167A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-03-04 |