| NPI | 1003967290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D69760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01056902A) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-11-18 |