| NPI | 1750424115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 50465-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060968A) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-05-04 |