| NPI | 1023016607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02001355) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 02001355) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-08-14 |