| NPI | 1578725081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56183) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080395A) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-03-03 |