| NPI | 1437732708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02007369A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 81595-21) |
| 207P00000X Emergency Medicine (Licence: IL 036.170401) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-04-08 |