| NPI | 1497248355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101024009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006341A) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-06-30 |