| NPI | 1578983508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 59085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01092594A) |
| 207P00000X Emergency Medicine (Licence: TN 55479) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-04-02 |