| NPI | 1326133307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01096423A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 28211) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-06-17 |