| NPI | 1265617963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01027152A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 109432) |
| 207P00000X Emergency Medicine (Licence: IL 036-065967) | |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2014-09-11 |