| NPI | 1730134404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062006) |
| 207P00000X Emergency Medicine (Licence: OR MD173701) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01062006A) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-09-20 |