| NPI | 1992201677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A165977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01085255) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-08-17 |