| NPI | 1205133634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004426A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.134439) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2022-02-03 |