| NPI | 1528217841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 5485087-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 21355) |
| 207P00000X Emergency Medicine (Licence: IN 02003955A) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-05-24 |