| NPI | 1457557647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017304) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02008084A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-12-26 |