| NPI | 1386140820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009275) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006298A) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2026-01-20 |