| NPI | 1225561384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S5811) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083592A) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-04-11 |