| NPI | 1356861116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005960A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023559) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-05-18 |