| NPI | 1851442248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101016187) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006303A) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-02-29 |