| NPI | 1922040922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01054513) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25IA12475000) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-04-17 |