| NPI | 1174523492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01035630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01035630) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-02-28 |