| NPI | 1255394524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02001337) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021493) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2018-02-08 |