| NPI | 1053344366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01057799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 047468) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-02-07 |