| NPI | 1245466812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01076816A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT195685) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2019-05-12 |