| NPI | 1740774546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD481147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01087865A) |
| 207P00000X Emergency Medicine (Licence: FL TRN29650) | |
| 208600000X Surgery (Licence: SC LL52777) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-10-03 |