| NPI | 1558898239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301501681) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301112028) |
| 207P00000X Emergency Medicine (Licence: MI 4351028313) | |
| 207P00000X Emergency Medicine (Licence: IN 01091090A) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-04-05 |