| NPI | 1033319629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01069827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 5568) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2013-01-07 |