| NPI | 1669867529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140183) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0085847) |
| 207P00000X Emergency Medicine (Licence: IN 01088854A) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-11-09 |