| NPI | 1851854939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME147021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01088303A) |
| 207P00000X Emergency Medicine (Licence: TX T9983) | |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2022-10-26 |