| NPI | 1821024837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME82510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01087905A) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-07-18 |