| NPI | 1093247140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME143707) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083745A) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-01-23 |