| NPI | 1770224255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02008573A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.176667) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-08-28 |