| NPI | 1861073199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301511452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01094731A) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-09-20 |