| NPI | 1023512324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.145296) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01085697A) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-07-06 |