| NPI | 1386363257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI AMD-1166-0) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: HI AMD-1166-0) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-02-14 |