| NPI | 1013990555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OR MD26322) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060628A) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-11 |