| NPI | 1215296017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073423A) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2020-02-13 |