| NPI | 1801539937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 73603) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2024-00613) |
| 207P00000X Emergency Medicine (Licence: GA 105300) | |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2025-08-14 |