| NPI | 1033812128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151016734) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02009172A) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-07-05 |