| NPI | 1245797539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02008855A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015258) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2026-07-14 |