| NPI | 1528420890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01079830A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 19149) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-10-29 |