| NPI | 1205376621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014161) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02008234A) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2025-05-12 |