| NPI | 1831572254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301108207) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080188A) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-11-07 |