| NPI | 1851366256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.086293) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089190A) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2024-06-25 |