| NPI | 1437646478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 66900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 84592) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-03-14 |