| NPI | 1093729519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 012565) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01044937A) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-10-05 |