| NPI | 1396279527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD21085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R76059) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-08-06 |