| NPI | 1629056189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME69637) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072522A) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME0069637) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01072522A) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-10-13 |