| NPI | 1255781852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005639A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101022696) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-01-08 |