| NPI | 1477935542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080160A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.139172) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-10-03 |