| NPI | 1013981901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01059834A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.128894) |
| 207P00000X Emergency Medicine (Licence: MO 2023027278) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2026-06-29 |