| NPI | 1073254686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02008294A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 06171) |
| 207P00000X Emergency Medicine (Licence: MI 5101028003) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-08-04 |