| NPI | 1073137964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.076881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02007785A) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-06-11 |