| NPI | 1245897271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-27019) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME161389) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2026-07-15 |