| NPI | 1851031546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 86997-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01097467B) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-09-02 |