| NPI | 1225324601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019096) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-01-31 |