| NPI | 1205925237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 056138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01098122A) |
| 207P00000X Emergency Medicine (Licence: SC 96106) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-12-30 |