| NPI | 1588103550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-23302-0) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101265129) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-01-30 |