| NPI | 1356978696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01093490A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036168767) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-01-23 |