| NPI | 1659869964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0102248) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006009A) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2026-06-29 |