| NPI | 1972982510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301107558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 57531) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-11-20 |