| NPI | 1205327111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-49641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-11230) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-08-19 |