| NPI | 1750812731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 4018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023253) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-11-17 |