| NPI | 1255325726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 49959-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060534) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-10-23 |