| NPI | 1679006068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 83387-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083393A) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-06-26 |