| NPI | 1326579319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A185089) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083819A) |
| 207P00000X Emergency Medicine (Licence: GU M-2297) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-06-14 |