| NPI | 1134514383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-22577) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2017-0759) |
| 207P00000X Emergency Medicine (Licence: CA C193209) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2024-03-08 |