| NPI | 1992865950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 19671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01076189A) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2026-02-16 |