| NPI | 1295116911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-46640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01090239A) |
| 207P00000X Emergency Medicine (Licence: NE 7427) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-11-25 |