| NPI | 1497281323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301502595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093610A) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-07-15 |