| NPI | 1326158072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301081667) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD-26711) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-05-22 |