| NPI | 1952323719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101279726) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7454) |
| 207P00000X Emergency Medicine (Licence: IN 01061493A) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-09-12 |