| NPI | 1265825541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO3020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005498A) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2021-11-17 |