| NPI | 1760554786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 26750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD-6476) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-02-14 |