| NPI | 1083096572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01093706A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273598-1) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-05-15 |