| NPI | 1013117621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01067966A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 44519) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2023-04-20 |