| NPI | 1649739632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME149589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01091766A) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-12-02 |