| NPI | 1750811337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 57172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22340) |
| 207P00000X Emergency Medicine (Licence: IN 01088597A) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-10-03 |