| NPI | 1942649546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 6978) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080050A) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-03-18 |