| NPI | 1205333044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 58011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01090127A) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-07-06 |