| NPI | 1598027245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101019717) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005239A) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-04-04 |