| NPI | 1649473166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 26822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11013210A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2026-03-13 |