| NPI | 1902854474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01061644A) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 35087317) |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: IN 01061644A) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-12-12 |