| NPI | 1467843136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 61334) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 109440) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2025-10-08 |