| NPI | 1033527874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01081170A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 149896) |
| 207Q00000X Family Medicine (Licence: IL 125-065792) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2021-03-17 |