| NPI | 1093419061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 36823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 6224) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-06-23 |