| NPI | 1457791378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006710A) |
| 207P00000X Emergency Medicine (Licence: CA 15608) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-05-29 |