| NPI | 1215497326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01086989A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.157417) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2023-01-31 |