| NPI | 1396195830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX s0765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110175) |
| 207P00000X Emergency Medicine (Licence: MI 4351033221) | |
| 207P00000X Emergency Medicine (Licence: IN 01089582A) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-07-17 |