| NPI | 1518087048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101257507) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01065539A) |
| 207P00000X Emergency Medicine (Licence: MI 4301098305) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IN 01065539A) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-07-10 |