| NPI | 1881678993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 42958020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01053339A) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2025-08-04 |