| NPI | 1598129819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 95775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093196A) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01093196A) | |
| 207P00000X Emergency Medicine (Licence: CA A162472) | |
| 207P00000X Emergency Medicine (Licence: NC 2022-02625) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-06-28 |