| NPI | 1215031851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01053587A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 34864) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-07-21 |