| NPI | 1174017180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006673A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101026354) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-12-27 |