| NPI | 1073189353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01096737A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.078477) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2025-06-26 |