| NPI | 1730759192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4351048359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089692A) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-03-24 |