| NPI | 1417586744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0102190) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01098274A) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-05-24 |