| NPI | 1295932234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD XXXXXXXXXXXX) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02009170A) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2026-08-18 |