| NPI | 1710113634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 104819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01070422A) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2025-09-03 |