| NPI | 1245436021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME110566) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01076064A) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-03-01 |