| NPI | 1497723332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01051834) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301054949) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-04-28 |