| NPI | 1023334018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074929A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 123697) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-05-06 |