| NPI | 1265468169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD21946) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01095027a) |
| 207P00000X Emergency Medicine (Licence: ID M-15454) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-01-13 |