| NPI | 1750351748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME99841) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01040789A) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-04-14 |