| NPI | 1114912557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01060259A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01060259A) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2010-11-23 |