| NPI | 1679596845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101015390) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02001749A) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-06-05 |