| NPI | 1578925822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301509239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01081870) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-04-04 |