| NPI | 1992909527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02007191A) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 34.009149) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-10-17 |