| NPI | 1801411657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006789A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014320) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-04-20 |