| NPI | 1992939011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125055765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01097685A) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2025-11-20 |