| NPI | 1952046682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01096732A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.151994) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-09-03 |